Gbr Sheboygan Llc

LBN: Gbr Sheboygan Llc
Gbr Sheboygan Llc is an health care organization with primary practice located at 3100 Superior Ave , Sheboygan WI 53081-1948. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Gbr Sheboygan Llc can be contacted via phone (920) 964-0480, or through Dado, Jimmy via phone (614) 325-8899.

Contact Information

Primary practice address
3100 Superior Ave Sheboygan WI 53081-1948
Phone: (920) 964-0480
Fax: (920) 336-8093
Website:
Map and Directions
Authorized official contact:
Name: Dado, Jimmy CFO
Phone: (614) 325-8899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X Wisconsin

Profile Details

NPI number 1467529917
LBN Legal business name Gbr Sheboygan Llc
DBA Doing business as
Authorized official Dado, Jimmy CFO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 19th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467529917 NPPES
Wisconsin MEDICAID 21284500

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